Organization
HENRY FORD MACOMB HOSPITAL CORPORATION
Active
Other names
Henry Ford Macomb Hospital - Mt. Clemens Campus
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN HATHAWAY (VP)
(586) 263-2705
Entity
Organization
Contact information
Practice address
215 NORTH AVE, MOUNT CLEMENS, MI 48043-1716
(586) 466-9300
Mailing address
215 NORTH AVE, MOUNT CLEMENS, MI 48043-1716
(586) 466-9876
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
H0682005
MI
Other
Enumeration date
02/01/2007
Last updated
04/23/2021
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